Forehead Reduction: A Retrospective Study of 820 Consecutive Cases.

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Facial Aesthetics

Background:

• High foreheads present significant aesthetic challenges impacting self-confidence and social well-being.
• Existing literature lacks a comprehensive clinical method for forehead reduction based on a large patient series.
• A standardized surgical approach is needed to address perceived ideal facial proportions.

Purpose of the Study:

• To present a detailed clinical method for forehead reduction surgery.
• To evaluate the technical aspects, outcomes, and patient satisfaction of this technique.
• To provide a reliable treatment option for individuals with high foreheads.

Main Methods:

• A consecutive series of 820 forehead reduction surgeries were performed using a standardized technique between August 2019 and January 2025.
• Detailed descriptions of preoperative markings, surgical steps, tissue resection, flap fixation, and suturing techniques are provided.
• Patient satisfaction and complication rates were systematically evaluated.

Main Results:

• The mean forehead height reduction achieved was 25.5 mm (range: 10-50 mm).
• The maximum follow-up period extended to 71 months.
• Patients reported an average satisfaction score of 3.98 out of 5 for the procedure's outcome.

Conclusions:

• The presented surgical technique offers a reliable and effective method for forehead reduction.
• The procedure leads to improved aesthetic outcomes and high patient satisfaction with few complications.
• This study provides a permanent solution for individuals seeking to correct a high forehead.